2015–2025 Personal Medical Summary – Complete

on

“This is a patient-maintained medical summary of 2015–2025. Please verify all clinical decisions with official records.”

2015–2025 Personal Medical Summary – Complete

Personal Medical Background (2015–2024)

  • 2015–2024: No medical appointments.

  • Patient remained independently functional, with no major interventions or hospitalizations.

Detailed 2025 Timeline

Date / TimeEvent / AppointmentNotes / Impact
12 May 2025Specsavers eye test & cataract referralAssessment for progressive cataracts
18 May 2025Ceased workRight eye ~99.99% blind due to cataract; left eye longstanding cataract (~10 years)
26 Jun 2025Cataract surgery (1st eye)Phaco burn, corneal folds, 2 stitches placed
9 Aug 2025Cataract surgery (2nd eye)Stitches placed
13 Aug 2025Follow-up, NewmedicaPost-cataract complication review
29 Aug 2025Follow-up, NewmedicaContinued monitoring after cataract complications
26 Sep 2025Eye stitches removedRecovery progressing
27 Sep 2025Specsavers follow-upEnlarged optic nerve noted
30 Sep 2025GP visit for eye pressureFluid in lungs, temp 38.1°C; bloods taken
7 Oct 2025Blood results reviewedRepeat bloods requested in 3 weeks
15 Oct 2025, 18:00Called 999 ambulancePriority 1, abdominal pain thought to be pancreatitis attack
15 Oct 2025, 19:50Ambulance arrivedUnder blue light and siren
15 Oct 2025, 20:22Admitted to A&E, Princess Diana Hospital, GrimsbyInitial assessment
15 Oct 2025CT scanSplenic blood clot detected; gallbladder and liver issues noted
16 Oct 2025, 06:00Transferred to SDECInterim observation
16 Oct 2025, 20:00Transferred to Ashleigh WardBecame inpatient
17 Oct 2025Heart ultrasound (inpatient)Cardiac evaluation
17 Oct 2025Spleen ultrasound (inpatient)Assess splenic infarcts
17 Oct 2025Chest X-ray (inpatient)Checking for fluid in lungs
17–18 Oct 2025Transferred to C1 Glover, Coronary Care UnitRapid escalation due to cardiac findings; exact times not fully remembered
22 Oct 2025Hospital dischargeClinically stable, medically optimised
23 Oct 2025Disabled bus pass issuedWithin 30 mins of notification; demonstrates limited functionality
27 Oct 2025Bloods by GPMonitoring renal function and electrolytes
Post-dischargeWork and driving restrictionsMedical team prohibited work/driving; reported as medical offence under DVLA rules
13 Nov 202524-hour heart monitor fittedAssess ventricular ectopy burden
14 Nov 2025Heart monitor removedData to be reviewed in follow-up
Date TBDCardiac MRI (Hull)Assess cause of heart failure; follow-up cardiology clinic after results

Medical Intensity

  • 2015–2024: No appointments

  • 12 May 2025 – present: Possibly up to 30 medical appointments, including:

    • Eye tests, cataract surgeries, and follow-ups

    • GP visits, blood tests, and monitoring

    • Hospital admission for heart failure, AKI, and splenic infarcts

    • Outpatient heart failure, cardiology, and imaging follow-ups (Holter, CMR)

    • Council disability and DVLA reporting regarding work/driving restrictions

Impact on Daily Life

  • Severe fatigue and shortness of breath, even during basic tasks (toilet, showering).

  • Food intake reduced, though remains at a safe nutritional level.

  • Postprandial sleep: Falls asleep within 10 minutes of eating for up to 20 minutes. Not fainting, but indicates limited energy and cardiac reserve.

  • Everyday activities require careful pacing.

  • Vision impairment: Left eye longstanding cataract (~10 years), right eye near-total loss before surgery.

  • Disability recognized via council-issued bus pass; work and driving restricted by medical team.

Forward Care Plan / Ongoing Monitoring

Self-Monitoring at Home

  • BP, oxygen saturation, temperature: hourly

  • Weight: daily, watch for fluid retention

  • Symptoms: track shortness of breath, fatigue, swelling, dizziness, chest discomfort

Medication Adherence

  • Take all prescribed medications as scheduled: Apixaban, Bisoprolol, Dapagliflozin, Eplerenone, Sacubitril/Valsartan

  • Monitor for side effects; report any unusual changes promptly

Scheduled Outpatient Care

  • 24-hour Holter: 13–14 Nov 2025

  • Cardiac MRI (Hull): Date TBD

  • Heart failure clinic follow-up post-CMR

  • Cardiology clinic review for potential angiogram post-CMR

  • Blood tests / renal monitoring every 3 weeks or as advised

Potential Future Angiogram (if indicated)

  • May be required depending on 24-hour Holter results

  • Typically via radial artery (wrist) access with compression band care post-procedure

  • Likely inpatient: admission day before, procedure day, observation up to 1 day after depending on stability and cardiac risk

Daily-Life Support & Adaptations

  • Pacing activities to manage fatigue and breathlessness

  • Access to mobility aids and support for daily living

  • Use of AI tools to assist with typing, writing reports, and documentation

  • Disabled bus pass for safe transport

Red-Flag Symptoms – Seek Urgent Care Immediately

  • Sudden severe shortness of breath at rest

  • Chest pain or pressure

  • Fainting, collapse, or severe dizziness

  • Rapid swelling or weight gain

  • High fever (>38.5°C) or signs of infection

Key Self-Care Notes & Tips

  • Break daily tasks into small, manageable steps

  • Take short naps (10–20 minutes) after meals for energy recovery

  • Keep log of medical readings, medications, and symptoms for follow-ups

  • Ensure safe seating/lying positions during post-meal sleep or fatigue

  • Use AI support tools to reduce physical and cognitive strain

  • Plan activities around energy peaks and avoid unnecessary exertion

Looking Ahead – Patient Determination & Outlook

  • Patient demonstrates exceptional resilience, medical knowledge, and self-management.

  • Primary focus: staying alive and stable to ensure all planned investigations and treatments can be safely completed.

  • Mindset: disciplined, proactive, and alert; tracks vital signs, symptoms, and medical appointments diligently.

  • Adaptations and support: AI assistance, pacing activities, council mobility support.

  • Outlook: committed to maximize stability, adhere to treatment, and continue medical follow-up, understanding survival and careful monitoring are essential to completing the life-saving care plan.

“Please verify information before making clinical decisions.”

Comments

Post a Comment